The study found that one out of three plastic surgeons surveyed saw an increase in requests for procedures due to patients being more self-aware of looks with social media.

“Social platforms like Instagram, Snapchat and the iPhone app Selfie.im, which are solely image based, force patients to hold a microscope up to their image and often look at it with a more self-critical eye than ever before,” Edward Farrior, MD, President of the American Academy of Facial Plastic and Reconstructive Surgery said in a press release. “These images are often the first impressions young people put out there to prospective friends, romantic interests and employers and our patitnes want to put their best face forward.”

Bullying was also determined as a reason. The surgeons that participated in this study said that 69 percent of children and teens that got plastic surgery because of being bullied and that 31 percent got it to prevent being bullied.

And younger people are getting plastic surgery. The study also found that 58 percent of surgeons saw an increase in surgery from people under 30.

“The top five things most patients are most concerned with are results, costs, recovery, pain and scars,” Dr. Farrior said. “Whether driven by a desire to stay competitive in the workforce, remain attractive to their mate or simply to look as good as they feel, advances in non-invasive anti-aging technologies are making it possible to delay the hands of time while retaining a natural outcome. As recovery times are reduced and results are more subtle, aesthetic procedures become a more viable maintenance option for young men and women.”

Women are still getting more plastic surgery than men. In 2013, 81 percent of women accounted for all plastic surgery procedures.

Men and women value different plastic surgery procedures. For men, the most popular procedures were BOTOX injections, hyaluronic acid injections, hair transplants, and rhinoplasties. For women, the most popular surgical procedures were facelifts and rhinoplasties.

BOTOX injections were still the most popular non-surgical procedure among women followed by hyaluronic acid injections, superficial peels/microdermabrasion, and non-ablative resurfacing.

The study found that husbands and wives were the most likely to have cosmetic surgery. Over 30 percent of the surgeons said they saw an increase in married couples getting it.